From: Terry S. Singeltary Sr. 
Sent: Thursday, December 24, 2015 10:06 AM
Subject: Infectious disease spread is fueled by international trade 
Public Release: 22-Dec-2015 Infectious disease spread is fueled by 
international trade 
Arizona State University
Share Print E-Mail Tempe, Ariz., (December 22, 2015) - International trade 
and travel has literally opened up new vistas for humans, ranging from travel to 
exotic places to enjoying the products and services of those distant lands. But 
along with international trade and travel comes the risk of spreading infectious 
diseases, a growing problem in today's global economy, says an Arizona State 
University researcher.
"The recent Ebola outbreak made us realize that we are all just a plane 
ride away from exposure to emerging infectious diseases," says Charles Perrings, 
an ASU professor of environmental economics. Perrings recently published the 
paper, "Options for Managing the Infectious Animal and Plant Disease Risks of 
International Trade," in the early online version of the journal Food Security. 
The paper reported project results to an international conference "Global 
Plant Health Risks and Consequences: Linking Science, Economics and Policy," 
hosted by the British Food and Environment Research Agency, and supported by the 
Organisation for Economic Cooperation and Development's Cooperative Research 
Programme on Biological Resource Management for Sustainable Agricultural 
Systems. Perrings is the principle investigator of a project funded by the 
National Science Foundation-National Institutes of Health-U.S. Department of 
Agriculture Ecology and Evolution of Infectious Diseases program in 
collaboration with the UK's Biotechnology and Biological Sciences Research 
Council.
In the paper, Perrings describes the growth of international trade since 
the 1950s and the increasingly tight coupling of developed and developing 
economies. The paper considers how the global community currently deals with 
trade-related infectious disease risks of animals and plants, and asks how the 
system could be made more effective. 
An example of the impact of an infectious disease came in 2001 in the UK 
when an outbreak of hoof and mouth disease cost some $10 billion and more than 2 
million sheep and cattle had to be destroyed, Perrings said. More recently, 
African swine fever--a much more serious disease of pigs--has been spread in the 
Caucasus region through trade in pork, pork product or through waste in trade 
vehicles.
"The more trade grows as a proportion of global production, the more likely 
it is that diseases will be spread through trade, and the higher the economic 
cost of resulting trade bans," Perrings said. "What is at risk is the food we 
eat, the fibers we wear and build with, and the fuels we burn." 
"In addition many infectious diseases that affect animals also affect 
people," he added. "Zoonoses like SARS, MERS, HIV AIDS, or highly pathogenic 
avian influenza, all originated in wild animals and were then spread person to 
person through trade and travel." 
Perrings said current instruments to control infectious diseases are far 
from adequate, as the recent report of the Harvard-London School of Hygiene and 
Tropical Medicine Independent Panel on the Global Response to Ebola, published 
in the Lancet, makes clear. 
"There are two problems to address," he said. "One is that disease spread 
is an unintended (external) effect of trade. To solve this problem exporters and 
importers need to be confronted with the risks they impose on consumers." 
"The other is that the control of infectious disease is a public good--the 
benefits it offers are freely available to all, and so will be undersupplied if 
left to the market," he explained. "To solve this problem we need to undertake 
cooperative, collective control of infectious diseases at the source."
Perrings said options for solving both problems include the use of payments 
for risk reduction in developing countries and the development of a global fund 
for infectious disease control.
At the moment countries have the right (through the Sanitary and 
Phytosanitary Agreement) to act in their own defense once a disease has been 
introduced. Their options are to control the outbreak and to reduce the chance 
of reinfection by banning trade with risky countries or in risky products. But 
this cannot stop the emergence of new diseases.
"The One Health Initiative suggests that what is needed is cooperative 
collective action to reduce risk at the source," Perrings said. "This requires a 
partnership between the rich countries that have the resources to fund global 
prevention, and the poor countries where disease is most likely to 
emerge."
"The management of infectious diseases of animals and plants, like the 
management of infectious diseases of people, is now a global problem that 
requires global solutions," Perrings writes. "This in turn requires a more 
strongly coordinated and cooperative approach than is currently allowed under 
the General Agreement on Tariffs and Trade (GATT) and the Sanitary and 
Phytosanitary Agreement."
### 
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Greetings AAAS et al @ EurekAlert, 
I kindly wish to comment, and submit the following to you please.
>>> "There are two problems to address," he said. "One is that 
disease spread is an unintended (external) effect of trade. To solve this 
problem exporters and importers need to be confronted with the risks they impose 
on consumers." <<< 
just call it what it is, the legal trading of all strains of mad cow 
disease Bovine Spongiform Encephalopathy BSE Transmissible Spongiform 
Encephalopathy TSE Prion disease, spread by the OIE USDA BSE Minimal Risk Region 
MRR policy. 
like it or not, consumers human life are expendable now due to the BSE MRR 
policy. it’s as simple as that. sound science does not matter anymore, it’s all 
about trade, and nothing else matters. it is a proven fact with the BSE MRR 
instead of the BSE GBR’s. ...it’s all about money now folks $$$
Saturday, December 12, 2015 
CHRONIC WASTING DISEASE CWD TSE PRION REPORT DECEMBER 14, 2015 
Thursday, December 17, 2015 
Annual report of the Scientific Network on BSE-TSE 2015 EFSA-Q-2015-00738 
10 December 2015 
Saturday, December 12, 2015 
BOVINE SPONGIFORM ENCEPHALOPATHY BSE TSE PRION REPORT DECEMBER 14, 2015 
Saturday, December 12, 2015 
NOTICE: Environmental Impact Statement on Large Livestock Carcasses TSE 
Prion REPORT December 14, 2015 
Saturday, December 12, 2015 
CREUTZFELDT JAKOB DISEASE CJD TSE PRION REPORT DECEMBER 14, 2015
Research Project: TRANSMISSION, DIFFERENTIATION, AND PATHOBIOLOGY OF 
TRANSMISSIBLE SPONGIFORM ENCEPHALOPATHIES 
Title: Transmission of scrapie prions to primate after an extended silent 
incubation period 
Authors 
item Comoy, Emmanuel - item Mikol, Jacqueline - item Luccantoni-Freire, 
Sophie - item Correia, Evelyne - item Lescoutra-Etchegaray, Nathalie - item 
Durand, Valérie - item Dehen, Capucine - item Andreoletti, Olivier - item 
Casalone, Cristina - item Richt, Juergen item Greenlee, Justin item Baron, 
Thierry - item Benestad, Sylvie - item Hills, Bob - item Brown, Paul - item 
Deslys, Jean-Philippe - 
Submitted to: Scientific Reports Publication Type: Peer Reviewed Journal 
Publication Acceptance Date: May 28, 2015 Publication Date: June 30, 2015 
Citation: Comoy, E.E., Mikol, J., Luccantoni-Freire, S., Correia, E., 
Lescoutra-Etchegaray, N., Durand, V., Dehen, C., Andreoletti, O., Casalone, C., 
Richt, J.A., Greenlee, J.J., Baron, T., Benestad, S., Brown, P., Deslys, J. 
2015. Transmission of scrapie prions to primate after an extended silent 
incubation period. Scientific Reports. 5:11573. 
Interpretive Summary: 
The transmissible spongiform encephalopathies (also called prion diseases) 
are fatal neurodegenerative diseases that affect animals and humans. The agent 
of prion diseases is a misfolded form of the prion protein that is resistant to 
breakdown by the host cells. Since all mammals express prion protein on the 
surface of various cells such as neurons, all mammals are, in theory, capable of 
replicating prion diseases. One example of a prion disease, bovine spongiform 
encephalopathy (BSE; also called mad cow disease), has been shown to infect 
cattle, sheep, exotic undulates, cats, non-human primates, and humans when the 
new host is exposed to feeds or foods contaminated with the disease agent. The 
purpose of this study was to test whether non-human primates (cynomologous 
macaque) are susceptible to the agent of sheep scrapie. After an incubation 
period of approximately 10 years a macaque developed progressive clinical signs 
suggestive of neurologic disease. Upon postmortem examination and microscopic 
examination of tissues, there was a widespread distribution of lesions 
consistent with a transmissible spongiform encephalopathy. This information will 
have a scientific impact since it is the first study that demonstrates the 
transmission of scrapie to a non-human primate with a close genetic relationship 
to humans. This information is especially useful to regulatory officials and 
those involved with risk assessment of the potential transmission of animal 
prion diseases to humans. 
Technical Abstract: 
Classical bovine spongiform encephalopathy (c-BSE) is an animal prion 
disease that also causes variant Creutzfeldt-Jakob disease in humans. Over the 
past decades, c-BSE's zoonotic potential has been the driving force in 
establishing extensive protective measures for animal and human health. In 
complement to the recent demonstration that humanized mice are susceptible to 
scrapie, we report here the first observation of direct transmission of a 
natural classical scrapie isolate to a macaque after a 10-year incubation 
period. Neuropathologic examination revealed all of the features of a prion 
disease: spongiform change, neuronal loss, and accumulation of PrPres throughout 
the CNS. 
***This observation strengthens the questioning of the harmlessness of 
scrapie to humans, at a time when protective measures for human and animal 
health are being dismantled and reduced as c-BSE is considered controlled and 
being eradicated. Our results underscore the importance of precautionary and 
protective measures and the necessity for long-term experimental transmission 
studies to assess the zoonotic potential of other animal prion strains. 
*** Docket No. APHIS-2007-0127 Scrapie in Sheep and Goats Terry Singeltary 
Sr. Submission ***
Docket No. APHIS-2007-0127 Scrapie in Sheep and Goats
SUMMARY: We are reopening the comment period for our proposed rule that 
would revise completely the scrapie regulations, which concern the risk groups 
and categories established for individual animals and for flocks, the use of 
genetic testing as a means of assigning risk levels to animals, movement 
restrictions for animals found to be genetically less susceptible or resistant 
to scrapie, and recordkeeping requirements. This action will allow interested 
persons additional time to prepare and submit comments.
DATES: The comment period for the proposed rule published on September 10, 
2015 (80 FR 54660-54692) is reopened. We will consider all comments that we 
receive on or before December 9, 2015. ...
COMMENT SUBMISSION TERRY S. SINGELTARY SR.
WITH regards to Docket No. APHIS-2007-0127 Scrapie in Sheep and Goats, I 
kindly submit the following ; 
>>>The last major revision of the scrapie regulations occurred on 
August 21, 2001, when we published in theFederal Register(66 FR 43964, Docket 
No. 97-093-5) a final rule amending part 79 by imposing additional restrictions 
on the interstate movement of sheep and goats.<<< 
Indeed, much science has changed about the Scrapie TSE prion, including 
more science linking Scrapie to humans. sadly, politics, industry, and trade, 
have not changed, and those usually trump sound science, as is the case with all 
Transmissible Spongiform Encephalopathy TSE Prion disease in livestock producing 
animals and the OIE. we can look no further at the legal trading of the Scrapie 
TSE prion both typical and atypical of all strains, and CWD all stains. With as 
much science of old, and now more new science to back this up, Scrapie of all 
types i.e. atypical and typical, BSE all strains, and CWD all strains, should be 
regulated in trade as BSE TSE PRION. In fact, I urge APHIS et al and the OIE, 
and all trading partners to take heed to the latest science on the TSE prion 
disease, all of them, and seriously reconsider the blatant disregards for human 
and animal health, all in the name of trade, with the continued relaxing of TSE 
Prion trade regulations through the ‘NEGLIGIBLE BSE RISK’ PROGRAM, which was set 
up to fail in the first place. If the world does not go back to the ‘BSE RISK 
ASSESSMENTS’, enhance, and or change that assessment process to include all TSE 
prion disease, i.e. ‘TSE RISK ASSESSMENT’, if we do not do this and if we 
continue this farce with OIE and the USDA et al, and the ‘NEGLIGIBLE BSE RISK’ 
PROGRAM, we will never eradicate the TSE prion aka mad cow type disease, they 
will continue to mutate and spread among species of human and animal origin, and 
they will continue to kill. ...
please see ;
O.05: Transmission of prions to primates after extended silent incubation 
periods: Implications for BSE and scrapie risk assessment in human populations 
Emmanuel Comoy, Jacqueline Mikol, Valerie Durand, Sophie Luccantoni, 
Evelyne Correia, Nathalie Lescoutra, Capucine Dehen, and Jean-Philippe Deslys 
Atomic Energy Commission; Fontenay-aux-Roses, France 
Prion diseases (PD) are the unique neurodegenerative proteinopathies 
reputed to be transmissible under field conditions since decades. The 
transmission of Bovine Spongiform Encephalopathy (BSE) to humans evidenced that 
an animal PD might be zoonotic under appropriate conditions. Contrarily, in the 
absence of obvious (epidemiological or experimental) elements supporting a 
transmission or genetic predispositions, PD, like the other proteinopathies, are 
reputed to occur spontaneously (atpical animal prion strains, sporadic CJD 
summing 80% of human prion cases). Non-human primate models provided the first 
evidences supporting the transmissibiity of human prion strains and the zoonotic 
potential of BSE. Among them, cynomolgus macaques brought major information for 
BSE risk assessment for human health (Chen, 2014), according to their 
phylogenetic proximity to humans and extended lifetime. We used this model to 
assess the zoonotic potential of other animal PD from bovine, ovine and cervid 
origins even after very long silent incubation periods. 
*** We recently observed the direct transmission of a natural classical 
scrapie isolate to macaque after a 10-year silent incubation period, 
***with features similar to some reported for human cases of sporadic CJD, 
albeit requiring fourfold long incubation than BSE. Scrapie, as recently evoked 
in humanized mice (Cassard, 2014), 
***is the third potentially zoonotic PD (with BSE and L-type BSE), 
***thus questioning the origin of human sporadic cases. We will present an 
updated panorama of our different transmission studies and discuss the 
implications of such extended incubation periods on risk assessment of animal PD 
for human health. 
=============== 
***thus questioning the origin of human sporadic cases*** 
=============== 
***This information will have a scientific impact since it is the first 
study that demonstrates the transmission of scrapie to a non-human primate with 
a close genetic relationship to humans. This information is especially useful to 
regulatory officials and those involved with risk assessment of the potential 
transmission of animal prion diseases to humans. 
***This observation strengthens the questioning of the harmlessness of 
scrapie to humans, at a time when protective measures for human and animal 
health are being dismantled and reduced as c-BSE is considered controlled and 
being eradicated. Our results underscore the importance of precautionary and 
protective measures and the necessity for long-term experimental transmission 
studies to assess the zoonotic potential of other animal prion strains. 
Research Project: TRANSMISSION, DIFFERENTIATION, AND PATHOBIOLOGY OF 
TRANSMISSIBLE SPONGIFORM ENCEPHALOPATHIES 
Title: Evaluation of the zoonotic potential of transmissible mink 
encephalopathy 
Authors 
item Comoy, Emmanuel - item Mikol, Jacqueline - item Ruchoux, 
Marie-Madeleine - item Durand, Valerie - item Luccantoni-Freire, Sophie - item 
Dehen, Capucine - item Correia, Evelyne - item Casalone, Cristina - item Richt, 
Juergen item Greenlee, Justin item Torres, Juan Maria - item Brown, Paul - item 
Deslys, Jean-Philippe - 
Submitted to: Pathogens Publication Type: Peer Reviewed Journal Publication 
Acceptance Date: July 30, 2013 Publication Date: July 30, 2013 Citation: Comoy, 
E.E., Mikol, J., Ruchoux, M., Durand, V., Luccantoni-Freire, S., Dehen, C., 
Correia, E., Casalone, C., Richt, J.A., Greenlee, J.J., Torres, J.M., Brown, P., 
Deslys, J. 2013. Evaluation of the zoonotic potential of transmissible mink 
encephalopathy. Pathogens. 2:(3)520-532. 
Interpretive Summary: Cases of bovine spongiform encephalopathy (BSE) or 
mad cow disease can be subclassified into at least 3 distinct disease forms with 
the predominate form known as classical BSE and the others collectively referred 
to as atypical BSE. Atypical BSE can be further subdivided into H-type and 
L-type cases that are distinct from classical BSE and from each other. Both of 
the atypical BSE subtypes are believed to occur spontaneously, whereas classical 
BSE is spread through feeding contaminated meat and bone meal to cattle. 
Transmissible mink encephalopathy (TME) is another prion disease that transmits 
to cattle and show similarities to L-type BSE when subjected to laboratory 
testing. The purpose of this study was to use non-human primates (cynomologous 
macaque) and transgenic mice expressing the human prion protein to determine if 
TME could represent a potential risk to human health. TME from two sources 
(cattle and raccoons) was able to infect non-human primates and transgenic mice 
after exposure by the intracranial route. This result suggest that humans may be 
able to replicate TME prions after an exposure that allows infectious material 
access to brain tissue. At this time, it is unknown whether non-human primates 
or transgenic mice would be susceptible to TME prions after oral exposure. The 
results obtained in these animal models were similar to those obtained for 
L-type BSE. Although rare, the existence of TME and that it transmits to cattle, 
non-human primates, and transgenic mice suggest that feed bans preventing the 
feeding of mammalian tissues to cattle should stay in place and that regular 
prion surveillance during the slaughter should remain in place. Parties with 
interest in the cattle and beef industries and regulatory officials responsible 
for safe feeding practices of cattle will be interested in this work. Technical 
Abstract: Successful transmission of Transmissible Mink Encephalopathy (TME) to 
cattle supports the bovine hypothesis to the still controversial origin of TME 
outbreaks. Human and primate susceptibility to classical Bovine Spongiform 
Encephalopathy (c-BSE) and the transmissibility of L-type BSE to macaques assume 
a low cattle-to-primate species barrier: we therefore evaluated the zoonotic 
potential of cattle-adapted TME. In less than two years, this strain induced in 
cynomolgus macaques a neurological disease similar to L-BSE and distinct from 
c-BSE. TME derived from another donor species (raccoon) induced a similar 
disease with shorter incubation periods. 
*** L-BSE and cattle-adapted TME were also transmissible to transgenic mice 
expressing human PrP. Interestingly, secondary transmissions to transgenic mice 
expressing bovine PrP showed the maintenance of prion strain features for the 
three tested bovine prion strains (cattle TME, c-BSE and L-BSE) regardless of 
intermediate host. 
*** Thus, TME is the third animal prion strain transmissible to both 
macaques and humanized transgenic mice, suggesting zoonotic potentials that 
should be considered in the risk analysis of animal prion diseases for human 
health. 
*** Moreover, the similarities between TME and L-BSE are highly suggestive 
of a link between those strains, and of the presence of L-BSE decades prior to 
its identification in USA and Europe. 
Research Project: Transmission, Differentiation, and Pathobiology of 
Transmissible Spongiform Encephalopathies 
2014 Annual Report 
1a.Objectives (from AD-416): 1. Investigate the pathobiology of atypical 
transmissible spongiform encephalopathies (TSEs) in natural hosts. A. 
Investigate the pathobiology of atypical scrapie. B. Investigate the 
pathobiology of atypical bovine spongiform encephalopathy (BSE). 2. Investigate 
the horizontal transmission of TSEs. A. Assess the horizontal transmission of 
sheep scrapie in the absence of lambing. B. Determine routes of transmission in 
chronic wasting disease (CWD) infected premises. C. Assess oral transmission of 
CWD in reindeer. 3. Investigate determinants of CWD persistence. A. Determine 
CWD host range using natural routes of transmission. B. Investigate the 
pathobiology of CWD. 
1b.Approach (from AD-416): The studies will focus on three animal 
transmissible spongiform encephalopathy (TSE) agents found in the United States: 
bovine spongiform encephalopathy (BSE); scrapie of sheep and goats; and chronic 
wasting disease (CWD) of deer, elk, and moose. The research will address sites 
of accumulation, routes of infection, environmental persistence, and ante mortem 
diagnostics with an emphasis on controlled conditions and natural routes of 
infection. Techniques used will include clinical exams, histopathology, 
immunohistochemistry and biochemical analysis of proteins. The enhanced 
knowledge gained from this work will help mitigate the potential for 
unrecognized epidemic expansions of these diseases in populations of animals 
that could either directly or indirectly affect food animals. 
3.Progress Report: Research efforts directed toward meeting objective 1 of 
our project plan, Investigate the pathobiology of atypical transmissible 
spongiform encephalopathies (TSEs) in natural hosts, include work in previous 
years starting with the inoculation of animals for studies designed to address 
the pathobiology of atypical scrapie, atypical bovine spongiform encephalopathy 
(BSE), as well as a genetic version of BSE. Animals inoculated with atypical 
scrapie have not yet developed disease. Atypical BSE animals have developed 
disease and evaluation of the samples is currently underway. Animals inoculated 
with a genetic version of BSE have developed disease and the manuscript has been 
published (2012). In addition, we have investigated the possibility that 
atypical scrapie was present earlier than previously detected in the national 
flock by analyzing archived field isolates using methods that were unavailable 
at the time of original diagnosis. Sample quality was sufficiently degraded that 
modern methods were not suitable for evaluation. In research pertaining to 
objective 2, Investigate the horizontal transmission of TSEs, we have initiated 
a study to determine if cohousing non-lambing scrapie inoculated sheep is 
sufficient to transmit scrapie to neonatal lambs. At this time, scrapie free 
ewes have lambed in the presence of scrapie inoculated animals and the lambs are 
cohoused with these inoculated animals. 
4.Accomplishments 1. Evaluated enzyme immunoassay for rapid identification 
of prion disease in livestock. Scrapie of sheep and bovine spongiform 
encephalopathy of cattle are diseases that cause damage to the central nervous 
system including the retina in the eye. The infectious agent is an abnormal 
protein called a prion that has misfolded from its normal state and is resistant 
to breakdown by the host cells. Current diagnostic methods require the testing 
of brain material, which can be difficult to collect and may lead to 
contamination of the environment and exposure of personnel to the infectious 
agent. Eyes can be readily collected without opening the skull. ARS researchers 
at Ames, Iowa demonstrated that the enzyme immunoassay results using eyes of 
negative controls or samples collected from sheep or cattle with clinical signs 
were in agreement with approved confirmatory assays (western blot or 
immunohistochemistry). These results indicate the retina is a useful tissue for 
rapid diagnosis of prion disease in clinically ill sheep and cattle and could be 
considered to greatly increase the number of samples submitted for prion disease 
diagnosis with a minimal investment of time and limited exposure of personnel to 
prion agents. 
2. Evaluated E211K cattle as a model for inherited human prion disease. 
Prion diseases cause damage to the central nervous system of animals and humans. 
The infectious agent is an abnormal protein called a prion that has misfolded 
from its normal state and is resistant to breakdown by the host cells and thus 
accumulates and damages those cells. Some forms of prion disease are genetic and 
can be inherited. Current models of genetic prion disease in humans rely on 
mouse models expressing either the human prion protein (E200K) or a combination 
of both mouse and human sequences. In addition to being an entirely artificial 
system these mouse models have a short lifespan making them a less than ideal 
system to study a naturally occurring genetic disorder with a long incubation 
time and late onset of disease. Cattle, however, exhibit a number of 
similarities to humans with regard to prion disease and perhaps most notable is 
the late onset of genetic prion disease. ARS researchers at Ames, Iowa have 
produced cattle containing both 1 and 2 chromosome copies of the cattle prion 
gene (E211K) and evaluated many aspects of this prion protein from cattle 
including protein stability, protein expression levels and ratios, as well as 
evidence of oxidative stress. Taken together, these results highlight the 
differences between mouse models of genetic prion disease and a naturally 
occurring prion disease system in cattle and suggest that cattle will provide a 
more relevant understanding of genetic prion disease in humans than do current 
rodent models. 
Review Publications Smith, J.D., Greenlee, J.J. 2014. Detection of 
misfolded prion protein in retina samples of sheep and cattle by use of a 
commercially available enzyme immunoassay. American Journal of Veterinary 
Research. 75(3):268-272. Haldar, S., Beveridge, A.J., Wong, J., Singh, A.J., 
Galimberti, D., Borroni, D., Zhu, X., Blevins, J., Greenlee, J., Perry, G., 
Mukhopadhyay, C.K., Schmotzer, C., Singh, N. 2014. A low-molecular-weight 
ferroxidase is increased in the CSF of sCJD Cases: CSF ferroxidase and 
transferrin as diagnostic biomarkers for sCJD. Antioxidants & Redox 
Signaling. 19(14):1662-1675. 
http://www.ars.usda.gov/research/projects/projects.htm?ACCN_NO=421870&fy=2014 
http://www.ars.usda.gov/research/projects/projects.htm?ACCN_NO=421870 
Research Project: TRANSMISSION, DIFFERENTIATION, AND PATHOBIOLOGY OF 
TRANSMISSIBLE SPONGIFORM ENCEPHALOPATHIES 
Title: Scrapie transmits to white-tailed deer by the oral route and has a 
molecular profile similar to chronic wasting disease 
Authors
item Greenlee, Justin item Moore, S - item Smith, Jodi - item Kunkle, 
Robert item West Greenlee, M - 
Submitted to: American College of Veterinary Pathologists Meeting 
Publication Type: Abstract Only Publication Acceptance Date: August 12, 2015 
Publication Date: N/A Technical Abstract: The purpose of this work was to 
determine susceptibility of white-tailed deer (WTD) to the agent of sheep 
scrapie and to compare the resultant PrPSc to that of the original inoculum and 
chronic wasting disease (CWD). We inoculated WTD by a natural route of exposure 
(concurrent oral and intranasal (IN); n=5) with a US scrapie isolate. All 
scrapie-inoculated deer had evidence of PrPSc accumulation. PrPSc was detected 
in lymphoid tissues at preclinical time points, and deer necropsied after 28 
months post-inoculation had clinical signs, spongiform encephalopathy, and 
widespread distribution of PrPSc in neural and lymphoid tissues. Western 
blotting (WB) revealed PrPSc with 2 distinct molecular profiles. WB on cerebral 
cortex had a profile similar to the original scrapie inoculum, whereas WB of 
brainstem, cerebellum, or lymph nodes revealed PrPSc with a higher profile 
resembling CWD. Homogenates with the 2 distinct profiles from WTD with clinical 
scrapie were further passaged to mice expressing cervid prion protein and 
intranasally to sheep and WTD. In cervidized mice, the two inocula have distinct 
incubation times. Sheep inoculated intranasally with WTD derived scrapie 
developed disease, but only after inoculation with the inoculum that had a 
scrapie-like profile. The WTD study is ongoing, but deer in both inoculation 
groups are positive for PrPSc by rectal mucosal biopsy. In summary, this work 
demonstrates that WTD are susceptible to the agent of scrapie, two distinct 
molecular profiles of PrPSc are present in the tissues of affected deer, and 
inoculum of either profile readily passes to deer. 
Monday, November 16, 2015 
*** Docket No. APHIS-2007-0127 Scrapie in Sheep and Goats Terry Singeltary 
Sr. Submission ***
Research Project: TRANSMISSION, DIFFERENTIATION, AND PATHOBIOLOGY OF 
TRANSMISSIBLE SPONGIFORM ENCEPHALOPATHIES 
Title: Transmission of the agent of sheep scrapie to deer results in PrPSc 
with two distinct molecular profiles Authors 
item Greenlee, Justin item Moore, Sarah - item Smith, Jodi item West 
Greenlee, Mary - item Kunkle, Robert 
Submitted to: Prion Publication Type: Abstract Only Publication Acceptance 
Date: March 31, 2015 Publication Date: May 25, 2015 Citation: Greenlee, J., 
Moore, S.J., Smith, J.., West Greenlee, M.H., Kunkle, R. 2015. 
Scrapie transmits to white-tailed deer by the oral route and has a 
molecular profile similar to chronic wasting disease and distinct from the 
scrapie inoculum. Prion 2015. p. S62. Technical Abstract: The purpose of this 
work was to determine susceptibility of white-tailed deer (WTD) to the agent of 
sheep scrapie and to compare the resultant PrPSc to that of the original 
inoculum and chronic wasting disease (CWD). We inoculated WTD by a natural route 
of exposure (concurrent oral and intranasal (IN); n=5) with a US scrapie 
isolate. All scrapie-inoculated deer had evidence of PrPSc accumulation. PrPSc 
was detected in lymphoid tissues at preclinical time points, and deer necropsied 
after 28 months post-inoculation had clinical signs, spongiform encephalopathy, 
and widespread distribution of PrPSc in neural and lymphoid tissues. Western 
blotting (WB) revealed PrPSc with 2 distinct molecular profiles. WB on cerebral 
cortex had a profile similar to the original scrapie inoculum, whereas WB of 
brainstem, cerebellum, or lymph nodes reveal PrPSc with a higher profile 
resembling CWD. Homogenates with the 2 distinct profiles from WTD with clinical 
scrapie were further passaged to mice expressing cervid prion protein and 
intranasally to sheep and WTD. In cervidized mice, the two inocula have distinct 
incubation times. Sheep inoculated intranasally with WTD derived scrapie 
developed disease, but only after inoculation with the inoculum that had a 
scrapie-like profile. The WTD study is ongoing, but deer in both inoculation 
groups are positive for PrPSc by rectal mucosal biopsy. In summary, this work 
demonstrates that WTD are susceptible to the agent of scrapie, two distinct 
molecular profiles of PrPSc are present in the tissues of affected deer, and 
inoculum of either profile type readily passes to deer. 
Research Project: TRANSMISSION, DIFFERENTIATION, AND PATHOBIOLOGY OF 
TRANSMISSIBLE SPONGIFORM ENCEPHALOPATHIES 
Title: Scrapie transmits to white-tailed deer by the oral route and has a 
molecular profile similar to chronic wasting disease Authors 
item Greenlee, Justin item Moore, S - item Smith, Jodi - item Kunkle, 
Robert item West Greenlee, M - 
Submitted to: American College of Veterinary Pathologists Meeting 
Publication Type: Abstract Only Publication Acceptance Date: August 12, 2015 
Publication Date: N/A 
Technical Abstract: The purpose of this work was to determine 
susceptibility of white-tailed deer (WTD) to the agent of sheep scrapie and to 
compare the resultant PrPSc to that of the original inoculum and chronic wasting 
disease (CWD). We inoculated WTD by a natural route of exposure (concurrent oral 
and intranasal (IN); n=5) with a US scrapie isolate. All scrapie-inoculated deer 
had evidence of PrPSc accumulation. PrPSc was detected in lymphoid tissues at 
preclinical time points, and deer necropsied after 28 months post-inoculation 
had clinical signs, spongiform encephalopathy, and widespread distribution of 
PrPSc in neural and lymphoid tissues. Western blotting (WB) revealed PrPSc with 
2 distinct molecular profiles. WB on cerebral cortex had a profile similar to 
the original scrapie inoculum, whereas WB of brainstem, cerebellum, or lymph 
nodes revealed PrPSc with a higher profile resembling CWD. Homogenates with the 
2 distinct profiles from WTD with clinical scrapie were further passaged to mice 
expressing cervid prion protein and intranasally to sheep and WTD. In cervidized 
mice, the two inocula have distinct incubation times. Sheep inoculated 
intranasally with WTD derived scrapie developed disease, but only after 
inoculation with the inoculum that had a scrapie-like profile. The WTD study is 
ongoing, but deer in both inoculation groups are positive for PrPSc by rectal 
mucosal biopsy. In summary, this work demonstrates that WTD are susceptible to 
the agent of scrapie, two distinct molecular profiles of PrPSc are present in 
the tissues of affected deer, and inoculum of either profile readily passes to 
deer. 
PO-039: A comparison of scrapie and chronic wasting disease in white-tailed 
deer 
Justin Greenlee, Jodi Smith, Eric Nicholson US Dept. Agriculture; 
Agricultural Research Service, National Animal Disease Center; Ames, IA USA 
2012 
PO-039: A comparison of scrapie and chronic wasting disease in white-tailed 
deer 
Justin Greenlee, Jodi Smith, Eric Nicholson US Dept. Agriculture; 
Agricultural Research Service, National Animal Disease Center; Ames, IA USA 
snip... 
The results of this study suggest that there are many similarities in the 
manifestation of CWD and scrapie in WTD after IC inoculation including early and 
widespread presence of PrPSc in lymphoid tissues, clinical signs of depression 
and weight loss progressing to wasting, and an incubation time of 21-23 months. 
Moreover, western blots (WB) done on brain material from the obex region have a 
molecular profile similar to CWD and distinct from tissues of the cerebrum or 
the scrapie inoculum. However, results of microscopic and IHC examination 
indicate that there are differences between the lesions expected in CWD and 
those that occur in deer with scrapie: amyloid plaques were not noted in any 
sections of brain examined from these deer and the pattern of immunoreactivity 
by IHC was diffuse rather than plaque-like. 
*** After a natural route of exposure, 100% of WTD were susceptible to 
scrapie. 
Deer developed clinical signs of wasting and mental depression and were 
necropsied from 28 to 33 months PI. Tissues from these deer were positive for 
PrPSc by IHC and WB. Similar to IC inoculated deer, samples from these deer 
exhibited two different molecular profiles: samples from obex resembled CWD 
whereas those from cerebrum were similar to the original scrapie inoculum. On 
further examination by WB using a panel of antibodies, the tissues from deer 
with scrapie exhibit properties differing from tissues either from sheep with 
scrapie or WTD with CWD. Samples from WTD with CWD or sheep with scrapie are 
strongly immunoreactive when probed with mAb P4, however, samples from WTD with 
scrapie are only weakly immunoreactive. In contrast, when probed with mAb’s 6H4 
or SAF 84, samples from sheep with scrapie and WTD with CWD are weakly 
immunoreactive and samples from WTD with scrapie are strongly positive. This 
work demonstrates that WTD are highly susceptible to sheep scrapie, but on first 
passage, scrapie in WTD is differentiable from CWD. 
White-tailed deer are susceptible to the agent of sheep scrapie by 
intracerebral inoculation 
snip... 
It is unlikely that CWD will be eradicated from free-ranging cervids, and 
the disease is likely to continue to spread geographically [10]. However, the 
potential that white-tailed deer may be susceptible to sheep scrapie by a 
natural route presents an additional confounding factor to halting the spread of 
CWD. This leads to the additional speculations that 
1) infected deer could serve as a reservoir to infect sheep with scrapie 
offering challenges to scrapie eradication efforts and 
2) CWD spread need not remain geographically confined to current endemic 
areas, but could occur anywhere that sheep with scrapie and susceptible cervids 
cohabitate. 
This work demonstrates for the first time that white-tailed deer are 
susceptible to sheep scrapie by intracerebral inoculation with a high attack 
rate and that the disease that results has similarities to CWD. These 
experiments will be repeated with a more natural route of inoculation to 
determine the likelihood of the potential transmission of sheep scrapie to 
white-tailed deer. If scrapie were to occur in white-tailed deer, results of 
this study indicate that it would be detected as a TSE, but may be difficult to 
differentiate from CWD without in-depth biochemical analysis. 
2011 
*** After a natural route of exposure, 100% of white-tailed deer were 
susceptible to scrapie. 
White-tailed Deer are Susceptible to Scrapie by Natural Route of Infection 
Jodi D. Smith, Justin J. Greenlee, and Robert A. Kunkle; Virus and Prion 
Research Unit, National Animal Disease Center, USDA-ARS 
Interspecies transmission studies afford the opportunity to better 
understand the potential host range and origins of prion diseases. Previous 
experiments demonstrated that white-tailed deer are susceptible to sheep-derived 
scrapie by intracranial inoculation. The purpose of this study was to determine 
susceptibility of white-tailed deer to scrapie after a natural route of 
exposure. Deer (n=5) were inoculated by concurrent oral (30 ml) and intranasal 
(1 ml) instillation of a 10% (wt/vol) brain homogenate derived from a sheep 
clinically affected with scrapie. Non-inoculated deer were maintained as 
negative controls. All deer were observed daily for clinical signs. Deer were 
euthanized and necropsied when neurologic disease was evident, and tissues were 
examined for abnormal prion protein (PrPSc) by immunohistochemistry (IHC) and 
western blot (WB). One animal was euthanized 15 months post-inoculation (MPI) 
due to an injury. At that time, examination of obex and lymphoid tissues by IHC 
was positive, but WB of obex and colliculus were negative. Remaining deer 
developed clinical signs of wasting and mental depression and were necropsied 
from 28 to 33 MPI. Tissues from these deer were positive for scrapie by IHC and 
WB. Tissues with PrPSc immunoreactivity included brain, tonsil, retropharyngeal 
and mesenteric lymph nodes, hemal node, Peyer’s patches, and spleen. This work 
demonstrates for the first time that white-tailed deer are susceptible to sheep 
scrapie by potential natural routes of inoculation. In-depth analysis of tissues 
will be done to determine similarities between scrapie in deer after 
intracranial and oral/intranasal inoculation and chronic wasting disease 
resulting from similar routes of inoculation. 
see full text ; 
========================================== 
***our findings suggest that possible transmission risk of H-type BSE to 
sheep and human. Bioassay will be required to determine whether the PMCA 
products are infectious to these animals. 
========================================== 
PRION 2015 CONFERENCE FT. COLLINS CWD RISK FACTORS TO HUMANS 
*** LATE-BREAKING ABSTRACTS PRION 2015 CONFERENCE *** 
O18 
Zoonotic Potential of CWD Prions 
Liuting Qing1, Ignazio Cali1,2, Jue Yuan1, Shenghai Huang3, Diane Kofskey1, 
Pierluigi Gambetti1, Wenquan Zou1, Qingzhong Kong1 1Case Western Reserve 
University, Cleveland, Ohio, USA, 2Second University of Naples, Naples, Italy, 
3Encore Health Resources, Houston, Texas, USA 
*** These results indicate that the CWD prion has the potential to infect 
human CNS and peripheral lymphoid tissues and that there might be asymptomatic 
human carriers of CWD infection. 
================== 
***These results indicate that the CWD prion has the potential to infect 
human CNS and peripheral lymphoid tissues and that there might be asymptomatic 
human carriers of CWD infection.*** 
================== 
P.105: RT-QuIC models trans-species prion transmission 
Kristen Davenport, Davin Henderson, Candace Mathiason, and Edward Hoover 
Prion Research Center; Colorado State University; Fort Collins, CO USA 
Conversely, FSE maintained sufficient BSE characteristics to more 
efficiently convert bovine rPrP than feline rPrP. Additionally, human rPrP was 
competent for conversion by CWD and fCWD. 
***This insinuates that, at the level of protein:protein interactions, the 
barrier preventing transmission of CWD to humans is less robust than previously 
estimated. 
================ 
***This insinuates that, at the level of protein:protein interactions, the 
barrier preventing transmission of CWD to humans is less robust than previously 
estimated.*** 
================ 
BOVINE SPONGIFORM ENCEPHALOPATHY BSE TSE PRION REPORT DECEMBER 14, 2015 
***********OCTOBER 2015************* 
*** PRION 2015 ORAL AND POSTER CONGRESSIONAL ABSTRACTS ***
THANK YOU PRION 2015 TAYLOR & FRANCIS, Professor Chernoff, and 
Professor Aguzzi et al, for making these PRION 2015 Congressional Poster and 
Oral Abstracts available freely to the public. ...Terry S. Singeltary Sr. 
P.108: Successful oral challenge of adult cattle with classical BSE 
Sandor Dudas1,*, Kristina Santiago-Mateo1, Tammy Pickles1, Catherine 
Graham2, and Stefanie Czub1 1Canadian Food Inspection Agency; NCAD Lethbridge; 
Lethbridge, Alberta, Canada; 2Nova Scotia Department of Agriculture; Pathology 
Laboratory; Truro, Nova Scotia, Canada 
Classical Bovine spongiform encephalopathy (C-type BSE) is a feed- and 
food-borne fatal neurological disease which can be orally transmitted to cattle 
and humans. Due to the presence of contaminated milk replacer, it is generally 
assumed that cattle become infected early in life as calves and then succumb to 
disease as adults. Here we challenged three 14 months old cattle per-orally with 
100 grams of C-type BSE brain to investigate age-related susceptibility or 
resistance. During incubation, the animals were sampled monthly for blood and 
feces and subjected to standardized testing to identify changes related to 
neurological disease. At 53 months post exposure, progressive signs of central 
nervous system disease were observed in these 3 animals, and they were 
euthanized. Two of the C-BSE animals tested strongly positive using standard BSE 
rapid tests, however in 1 C-type challenged animal, Prion 2015 Poster Abstracts 
S67 PrPsc was not detected using rapid tests for BSE. Subsequent testing 
resulted in the detection of pathologic lesion in unusual brain location and 
PrPsc detection by PMCA only. Our study demonstrates susceptibility of adult 
cattle to oral transmission of classical BSE. We are further examining 
explanations for the unusual disease presentation in the third challenged 
animal.
***Our study demonstrates susceptibility of adult cattle to oral 
transmission of classical BSE. *** 
***our findings suggest that possible transmission risk of H-type BSE to 
sheep and human. *** 
P.86: Estimating the risk of transmission of BSE and scrapie to ruminants 
and humans by protein misfolding cyclic amplification
Morikazu Imamura, Naoko Tabeta, Yoshifumi Iwamaru, and Yuichi Murayama 
National Institute of Animal Health; Tsukuba, Japan
To assess the risk of the transmission of ruminant prions to ruminants and 
humans at the molecular level, we investigated the ability of abnormal prion 
protein (PrPSc) of typical and atypical BSEs (L-type and H-type) and typical 
scrapie to convert normal prion protein (PrPC) from bovine, ovine, and human to 
proteinase K-resistant PrPSc-like form (PrPres) using serial protein misfolding 
cyclic amplification (PMCA).
Six rounds of serial PMCA was performed using 10% brain homogenates from 
transgenic mice expressing bovine, ovine or human PrPC in combination with PrPSc 
seed from typical and atypical BSE- or typical scrapie-infected brain 
homogenates from native host species. In the conventional PMCA, the conversion 
of PrPC to PrPres was observed only when the species of PrPC source and PrPSc 
seed matched. However, in the PMCA with supplements (digitonin, synthetic polyA 
and heparin), both bovine and ovine PrPC were converted by PrPSc from all tested 
prion strains. On the other hand, human PrPC was converted by PrPSc from typical 
and H-type BSE in this PMCA condition.
Although these results were not compatible with the previous reports 
describing the lack of transmissibility of H-type BSE to ovine and human 
transgenic mice, ***our findings suggest that possible transmission risk of 
H-type BSE to sheep and human. Bioassay will be required to determine whether 
the PMCA products are infectious to these animals.
================
==========================================
***our findings suggest that possible transmission risk of H-type BSE to 
sheep and human. Bioassay will be required to determine whether the PMCA 
products are infectious to these animals.
==========================================
Thursday, December 17, 2015 
Annual report of the Scientific Network on BSE-TSE 2015 EFSA-Q-2015-00738 
10 December 2015 
Saturday, December 12, 2015 
BOVINE SPONGIFORM ENCEPHALOPATHY BSE TSE PRION REPORT DECEMBER 14, 2015 
Saturday, December 12, 2015 
NOTICE: Environmental Impact Statement on Large Livestock Carcasses TSE 
Prion REPORT December 14, 2015 
Objects in contact with classical scrapie sheep act as a reservoir for 
scrapie transmission 
Timm Konold1*, Stephen A. C. Hawkins2, Lisa C. Thurston3, Ben C. Maddison4, 
Kevin C. Gough5, Anthony Duarte1 and Hugh A. Simmons1 
1 Animal Sciences Unit, Animal and Plant Health Agency Weybridge, 
Addlestone, UK, 2 Pathology Department, Animal and Plant Health Agency 
Weybridge, Addlestone, UK, 3 Surveillance and Laboratory Services, Animal and 
Plant Health Agency Penrith, Penrith, UK, 4 ADAS UK, School of Veterinary 
Medicine and Science, University of Nottingham, Sutton Bonington, UK, 5 School 
of Veterinary Medicine and Science, University of Nottingham, Sutton Bonington, 
UK 
Classical scrapie is an environmentally transmissible prion disease of 
sheep and goats. Prions can persist and remain potentially infectious in the 
environment for many years and thus pose a risk of infecting animals after 
re-stocking. In vitro studies using serial protein misfolding cyclic 
amplification (sPMCA) have suggested that objects on a scrapie affected sheep 
farm could contribute to disease transmission. This in vivo study aimed to 
determine the role of field furniture (water troughs, feeding troughs, fencing, 
and other objects that sheep may rub against) used by a scrapie-infected sheep 
flock as a vector for disease transmission to scrapie-free lambs with the prion 
protein genotype VRQ/VRQ, which is associated with high susceptibility to 
classical scrapie. When the field furniture was placed in clean accommodation, 
sheep became infected when exposed to either a water trough (four out of five) 
or to objects used for rubbing (four out of seven). This field furniture had 
been used by the scrapie-infected flock 8 weeks earlier and had previously been 
shown to harbor scrapie prions by sPMCA. Sheep also became infected (20 out of 
23) through exposure to contaminated field furniture placed within pasture not 
used by scrapie-infected sheep for 40 months, even though swabs from this 
furniture tested negative by PMCA. This infection rate decreased (1 out of 12) 
on the same paddock after replacement with clean field furniture. Twelve grazing 
sheep exposed to field furniture not in contact with scrapie-infected sheep for 
18 months remained scrapie free. The findings of this study highlight the role 
of field furniture used by scrapie-infected sheep to act as a reservoir for 
disease re-introduction although infectivity declines considerably if the field 
furniture has not been in contact with scrapie-infected sheep for several 
months. PMCA may not be as sensitive as VRQ/VRQ sheep to test for environmental 
contamination.
snip...see more here ;
Wednesday, December 16, 2015 
*** Objects in contact with classical scrapie sheep act as a reservoir for 
scrapie transmission 
Tuesday, December 15, 2015 
Chronic Wasting Disease will cause a Wyoming deer herd to go virtually 
extinct in 41 years, a five-year study predicts 
Study: Chronic Wasting Disease kills 19% of deer herd annually 
Chronic Wasting Disease will cause a Wyoming deer herd to go virtually 
extinct in 41 years, a five-year study predicts. 
The investigation, which relied on the capture of 143 deer, examined the 
dynamics in the Southern Converse County Mule Deer Herd that lives southwest of 
Douglas near Laramie Peak. There, a population that once numbered some 14,000 in 
the early 2000s dwindled to half that size in about a decade. 
The Chronic Wasting Disease study is one of only three that have been 
conducted on wild deer, elk or moose herds, none of which have yet seen print. 
While wildlife managers have long suspected CWD as a principle agent in the 
ravaged Converse herd, the study puts numbers on the problem, calculating a 19 
percent decline annually. 
University of Wyoming doctoral student Melia DeVivo spent four years of 
fieldwork and another year crunching numbers before defending her PhD thesis on 
the herd. She calculated the herd would go extinct in 41 years, without taking 
into account genetic differences that make some deer more resistant to CWD, or 
accounting for deer migration into the area. Even when taking in those factors, 
the herd will decline dramatically, she said. 
“I estimated that CWD was causing a 19 percent annual reduction in the 
population, which is pretty significant,” she said. “Potentially, in 41 years, 
it would be locally extinct.” 
snip...see full text ; 
Saturday, December 05, 2015 
CWD Prions Remain Infectious after Passage Through the Digestive System of 
Coyotes (Canis latrans) 
Saturday, December 12, 2015 
CREUTZFELDT JAKOB DISEASE CJD TSE PRION REPORT DECEMBER 14, 2015
Nature 525, 247?250 (10 September 2015) doi:10.1038/nature15369 Received 26 
April 2015 Accepted 14 August 2015 Published online 09 September 2015 Updated 
online 11 September 2015 Erratum (October, 2015) 
*** Evidence for human transmission of amyloid-β pathology and cerebral 
amyloid angiopathy 
07 02:27 AM 
re-Evidence for human transmission of amyloid-? pathology and cerebral 
amyloid angiopathy 
*** Terry S. Singeltary Sr. said:
I would kindly like to comment on the Nature Paper, the Lancet reply, and 
the newspaper articles.
snip...see full text ; 
Subject: 1992 IN CONFIDENCE TRANSMISSION OF ALZHEIMER TYPE PLAQUES TO 
PRIMATES POSSIBILITY ON A TRANSMISSIBLE PRION REMAINS OPEN 
BSE101/1 0136 
IN CONFIDENCE 
CMO 
From: . Dr J S Metiers DCMO 
4 November 1992 
TRANSMISSION OF ALZHEIMER TYPE PLAQUES TO PRIMATES 
snip...
4. The other dimension to consider is the public reaction. To some extent 
the GSS case demonstrates little more than the transmission of BSE to a pig by 
intra-cerebral injection. If other prion diseases can be transmitted in this way 
it is little surprise that some pathological findings observed in GSS were also 
transmissible to a marmoset. But the transmission of features of Alzheimer's 
pathology is a different matter, given the much greater frequency of this 
disease and raises the unanswered question whether some cases are the result of 
a transmissible prion. The only tenable public line will be that "more research 
is required’’ before that hypothesis could be evaluated. The possibility on a 
transmissible prion remains open. In the meantime MRC needs carefully to 
consider the range and sequence of studies needed to follow through from the 
preliminary observations in these two cases. Not a particularly comfortable 
message, but until we know more about the causation of Alzheimer's disease the 
total reassurance is not practical. 
J S METTERS Room 509 Richmond House Pager No: 081-884 3344 Callsign: DOH 
832 llllYc!eS 2 92/11.4/1.2 
>>> The only tenable public line will be that "more research is 
required’’ <<<
>>> possibility on a transmissible prion remains 
open<<<
O.K., so it’s about 23 years later, so somebody please tell me, when is 
"more research is required’’ enough time for evaluation ?
Self-Propagative Replication of Ab Oligomers Suggests Potential 
Transmissibility in Alzheimer Disease
Received July 24, 2014; Accepted September 16, 2014; Published November 3, 
2014
*** Singeltary comment PLoS ***
Alzheimer’s disease and Transmissible Spongiform Encephalopathy prion 
disease, Iatrogenic, what if ? 
Posted by flounder on 05 Nov 2014 at 21:27 GMT
Merry Christmas !
kindest regards, terry 
Terry S. Singeltary Sr. Bacliff, Texas USA 77518 flounder9@verizon.net 

